| NPI | 1063988012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60860635) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60568518) |
| 363L00000X Nurse Practitioner (Licence: WA AP60860635) | |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2024-02-22 |