| NPI | 1518343904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61315692) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60262073) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2022-07-06 |