| NPI | 1710330808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60691532) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60563667) |
| 363L00000X Nurse Practitioner (Licence: WA AP60691532) | |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2019-08-30 |