| NPI | 1851796668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60513538) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60513538) |
| 363L00000X Nurse Practitioner (Licence: WA AP60513538) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2024-12-19 |