| NPI | 1598043564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60235411) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN00118998) |
| 163W00000X Registered Nurse (Licence: WA RN00118998) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2021-05-18 |