| NPI | 1770133506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61151268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61149396) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2023-09-28 |