| NPI | 1861619512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005651) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA MB7280807) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2023-01-25 |