| NPI | 1558310755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30004850) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00114991) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30004850) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-06-18 |