| NPI | 1073158739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61187405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60811249) |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2024-01-17 |