| NPI | 1720849003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61526728) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60545520) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-02-06 |