| NPI | 1194302091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61148582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61148562) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-12-31 |