| NPI | 1942393426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006015) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA RN00086332) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-06-01 |