| NPI | 1801370697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60919640) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60767350) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2020-03-02 |