| NPI | 1952844987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60481749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 60481749) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2018-08-17 |