| NPI | 1881103000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60784449) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60668313) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60784449) | |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2018-06-28 |