| NPI | 1922471457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60813700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013041) |
| 163W00000X Registered Nurse (Licence: WA RN60803341) | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2018-07-02 |