| NPI | 1922027523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007098) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00151117) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-05-12 |