| NPI | 1316401722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61028188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00161955) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2022-08-31 |