| NPI | 1831713775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61312247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60765551) |
| Enumeration Date | 2020-06-06 |
| Last Update Date | 2023-12-01 |