| NPI | 1518545102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61189644) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP118644) |
| 163WP1700X Registered Nurse Perinatal (Licence: WA RN00146007) | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2024-03-19 |