| NPI | 1629116686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007083) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00159355) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2018-05-30 |