| NPI | 1588429633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60674930) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61553733) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-04-29 |