| NPI | 1780634345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007211) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00034502) |
| 363L00000X Nurse Practitioner (Licence: WA AP30007211) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-11-15 |