| NPI | 1659610764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60820546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 60820546) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2020-05-14 |