| NPI | 1548622509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60652755) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN00150354) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60652755) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-01-03 |