| NPI | 1588299671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61310896) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60564236) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2024-04-02 |