| NPI | 1871061606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA AP60913504) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00122254) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2020-05-07 |