| NPI | 1144704743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61493894) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60690917) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L-23247) | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2025-02-15 |