| NPI | 1508566068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61541872) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60698750) |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2024-07-09 |