| NPI | 1598097206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 5842134-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN 60118048) |
| 363L00000X Nurse Practitioner (Licence: UT 5842134-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60126936) | |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2024-01-30 |