| NPI | 1902316086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA 61443891) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61443470) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2023-10-17 |