| NPI | 1760756993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60188637) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN 60188809) |
| 163W00000X Registered Nurse (Licence: PA RN574021) | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2019-04-23 |