| NPI | 1275214777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61581847) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WA RN60170200) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2024-11-01 |