| NPI | 1629681788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61450071) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60565096) |
| 363L00000X Nurse Practitioner (Licence: WA AP61450071) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-09-19 |