| NPI | 1821468448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60605303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60511802) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2021-12-21 |