| NPI | 1730871302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61432807) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61432807) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-07-25 |