| NPI | 1972985505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60783141) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60321050) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2022-07-21 |