| NPI | 1952075699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61211268) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WA RN60423229) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-11-05 |