| NPI | 1215676853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61355109) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60939024) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-10-07 |