| NPI | 1679207476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA AP61330001) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61330001) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2023-02-28 |