| NPI | 1669914354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60703351) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60703351) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2022-03-09 |