| NPI | 1336825389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61462207) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00165600) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-10-25 |