| NPI | 1528814134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61541403) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60926787) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |