| NPI | 1659331791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30001197) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00069900) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2023-03-07 |