| NPI | 1811032683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61145807) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 197256) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-06-16 |