| NPI | 1669856316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60650391) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 689238) |
| 163W00000X Registered Nurse (Licence: WA RN60623276) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2016-05-24 |