| NPI | 1750423554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006959) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00156414) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2021-11-06 |