| NPI | 1538117650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30004827) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: WA AP30004827) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-01-13 |