| NPI | 1538568654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60534423) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60387780) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60534423) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2021-11-11 |