| NPI | 1649883810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61087340) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP61087340) |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2022-09-16 |