| NPI | 1447884374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61074467) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60436152) |
| 363L00000X Nurse Practitioner (Licence: WA AP61074467) | |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2024-08-07 |