| NPI | 1851717748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60448110) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA N360458031) |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2019-11-13 |