| NPI | 1548607609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60337640) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60225591) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2021-04-13 |