| NPI | 1205598141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61466254) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60641612) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2024-02-19 |