| NPI | 1851061196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61204675) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 61204675) |
| 363L00000X Nurse Practitioner (Licence: WA AP61204675) | |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-12-08 |