| NPI | 1619514411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA AP61336440) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60067661) |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2024-12-18 |