| NPI | 1811516362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: WA RN60972679) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61343726) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2022-08-30 |