| NPI | 1700544681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61250328) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ARNP.AP.61250328-NP) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2022-03-04 |