| NPI | 1558911719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61024014) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL APRN11004163) |
| 225C00000X Rehabilitation Counselor (Licence: WA AP61024014) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004163) | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2022-10-07 |