| NPI | 1821657248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61008319) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA RN60209371) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201909239NP-PP) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2021-04-07 |