| NPI | 1417627084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61492871) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00167479) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2023-09-29 |