| NPI | 1730441718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60295101) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00116940) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2021-04-07 |