| NPI | 1750656641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60865167) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 1422) |
| 163W00000X Registered Nurse (Licence: WA RN60863760) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI 384) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95003785) | |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2018-08-17 |