| NPI | 1639733702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61589492) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61589492) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61589492) | |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2025-01-10 |