| NPI | 1457109746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61562880) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60673271) |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-07-26 |