| NPI | 1902273030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60591075) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN60466798) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60591075) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60591075) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-11-02 |