| NPI | 1760251474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61582070) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61582070) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61582070) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61582070) | |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2024-08-29 |