| NPI | 1508402207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61194658) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60478347) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2021-07-12 |