| NPI | 1780415588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School (Licence: WA RN60957790) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN60957790) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |