| NPI | 1780249466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60956813) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60668432) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2021-11-11 |