| NPI | 1932803855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61567176) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60000854) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-06-06 |