| NPI | 1760095889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61442224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN60559903) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2024-11-04 |