| NPI | 1457987778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61224234) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00161042) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2022-01-04 |