| NPI | 1669087979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61090828) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA ap61090828) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-10-27 |