| NPI | 1811250764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60697118) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201150001NP) |
| 363L00000X Nurse Practitioner (Licence: WA AP60697118) | |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2021-06-15 |