| NPI | 1730858879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61191864) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60434895) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61191864) | |
| Enumeration Date | 2021-09-11 |
| Last Update Date | 2022-01-17 |