| NPI | 1205566981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61320193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60725666) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |