| NPI | 1952541971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006747) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10004824) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID NP-591A) | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2017-08-18 |