| NPI | 1861924516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60782216) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60666816) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-08-30 |