| NPI | 1871901546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60406859) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN 60009346) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2021-02-04 |