| NPI | 1528533759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60910048) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: WY 32518) |
| 363L00000X Nurse Practitioner (Licence: WA RN60909203) | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2021-03-04 |