| NPI | 1699149062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60621377) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60005690) |
| Enumeration Date | 2015-11-22 |
| Last Update Date | 2016-02-13 |