| NPI | 1770936676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60671439) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60150816) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WA RN60150816) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60671439) | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2021-04-07 |