| NPI | 1508331919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60862236) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60812006) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60862236) | |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2019-01-03 |