| NPI | 1891767190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30003501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RND0101919) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2021-05-11 |