| NPI | 1790465268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61494802) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60971737) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-10-10 |