| NPI | 1225871726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61445168) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA AP61445168) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-17 |