| NPI | 1962839142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60673253) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: PA RN60611679) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2024-05-29 |