| NPI | 1578757282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60904895) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: WA rn00151029) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2018-10-15 |