| NPI | 1740862804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61087783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA AP61087783) |
| 207Q00000X Family Medicine (Licence: WA AP61087783) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61087783) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61087783) | |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2024-11-06 |