| NPI | 1780822916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60075691) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 60010435) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2019-05-07 |