| NPI | 1649243668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP30007242) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2020-12-07 |