| NPI | 1205542768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61567776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61158461) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2024-07-02 |