| NPI | 1881823680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61322840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60019691) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2022-07-07 |