| NPI | 1467051144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61128179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60223987) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2021-11-02 |