| NPI | 1699134213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60641867) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60619486) |
| 163W00000X Registered Nurse (Licence: GA RN238970) | |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2022-05-18 |