| NPI | 1740215755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30002208) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA AP30002208) |
| 207Q00000X Family Medicine (Licence: WA AP30002208) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-06-03 |