| NPI | 1700490463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61451322) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60363235) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2023-06-15 |