| NPI | 1902264856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60679767) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60679767) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60679767) | |
| Enumeration Date | 2016-02-07 |
| Last Update Date | 2023-06-07 |