| NPI | 1629466842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60601675) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WA CNM2411) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2015-10-01 |