| NPI | 1447867098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61195703) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 1-145616) |
| 207Q00000X Family Medicine (Licence: WA AP61195703) | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2024-05-13 |