| NPI | 1003327784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60805173) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00173668) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-11-07 |