| NPI | 1548504921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA N360685232) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60683017) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2021-06-04 |