| NPI | 1710536099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60235411) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA 60985970) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2023-03-24 |