| NPI | 1225520539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60899459) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WA rn60760363) |
| 171100000X Acupuncturist | |
| 225700000X Massage Therapist (Licence: MA60511932) | |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2020-03-16 |