| NPI | 1548689334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60456900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60431614) |
| 163W00000X Registered Nurse (Licence: NY 630741-1) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2021-04-28 |