| NPI | 1861875247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60582149) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60145136) |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2019-08-30 |