| NPI | 1639640568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61459228) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA AP61459228) |
| 207Q00000X Family Medicine (Licence: WA AP61459228) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2023-08-29 |