| NPI | 1538410709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60253194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 00173401) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2021-07-31 |