| NPI | 1770074478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61591647) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 75755) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MT NUR-APRN-LIC-239199) | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2024-09-27 |