| NPI | 1225647381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61086891) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60309145) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-12-21 |