| NPI | 1548547607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60254606) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00129046) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2020-06-18 |