| NPI | 1487245734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61144525) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA ARNP.AP.61144525-NP) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2024-09-30 |