| NPI | 1558833301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61110694) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA RN60325002) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202010410NP-PP) | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2023-10-19 |