| NPI | 1720114366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60126953) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00092140) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-08-08 |