| NPI | 1538158092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30001656) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00075630) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2021-06-22 |