| NPI | 1942348628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30003797) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30003797) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA RN00079552) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2021-05-18 |