| NPI | 1831639848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60737303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60550781) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP60737303) | |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2021-06-17 |