| NPI | 1376187104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61403334) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: WA RN60087680) |
| 363L00000X Nurse Practitioner (Licence: WA AP61403334) | |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2024-02-23 |