| NPI | 1396516761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61521891) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60174063) |
| 207Q00000X Family Medicine (Licence: WA MB8644583) | |
| 207Q00000X Family Medicine (Licence: WA AP61521891) | |
| 207Q00000X Family Medicine (Licence: WA F01240502) | |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-09-11 |