| NPI | 1861869802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60602936) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60467704) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2021-01-18 |