| NPI | 1780166280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60864811) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60869065) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60864811) | |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2021-01-26 |