| NPI | 1629600564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61046889) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: WA RN60154865) |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2020-03-26 |