| NPI | 1649453234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60212754) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60212754) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60212754) | |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2023-11-02 |