| NPI | 1467093534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60191856) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60659760) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2021-11-08 |