| NPI | 1457908634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61188947) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: WA RN00160471) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2021-08-18 |