| NPI | 1801509211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA ap61396615) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA f10220547) |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2023-02-01 |