| NPI | 1679194393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61078740) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60479774) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2022-05-25 |