| NPI | 1649439845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60037220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00125799) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2021-04-05 |