| NPI | 1043900210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61446610) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00104217) |
| 363L00000X Nurse Practitioner (Licence: WA AP61446610) | |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-09-29 |