| NPI | 1578031266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60745947) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA APAP6) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60745947) | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2020-09-02 |