| NPI | 1619482551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60882886) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA 60882886) |
| 163W00000X Registered Nurse (Licence: WA RN60651055) | |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2019-08-12 |