| NPI | 1821477365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60583266) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60579730) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95002294) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2018-03-05 |