| NPI | 1750090320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 75715) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60231755) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61380253) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA ARNP61380253) | |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2023-09-26 |