| NPI | 1366172751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61456343) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: UT 10837256-3102) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2023-07-12 |