| NPI | 1356967582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60427769) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP61166943) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-12-27 |