| NPI | 1215562616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61305639) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60751228) |
| 363L00000X Nurse Practitioner (Licence: WA AP61305639) | |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2022-07-20 |