| NPI | 1891203154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60782213) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60669047) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60782213) | |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2024-06-20 |