| NPI | 1205460656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61187706) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA RN00163312) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2023-11-08 |