| NPI | 1801300538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA F10170838) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60807289) |
| 163W00000X Registered Nurse (Licence: WA 60669698) | |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2023-11-30 |