| NPI | 1578633681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP30005425) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00119815) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-05-18 |