| NPI | 1922672997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00167189) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: WA RN00167189) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-06-09 |