| NPI | 1710407853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60757019) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: WA AP60757019) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2025-01-26 |