| NPI | 1912100496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005018) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2021-03-05 |