| NPI | 1366136376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61454563) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60300120) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-15 |