| NPI | 1699004234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60126966) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00094879) |
| 363L00000X Nurse Practitioner (Licence: WA AP60126966) | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2019-08-03 |