| NPI | 1831260785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30002897) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA HC00124463) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2021-07-30 |