| NPI | 1720482359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60506134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60291044) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2022-07-21 |