| NPI | 1518721034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61610335) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61606447) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-09-19 |