| NPI | 1134801301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61484325) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN60562253) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-09-23 |