| NPI | 1891108932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00142431) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61044248) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2024-05-20 |