| NPI | 1003440322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61098388) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60462529) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2021-01-29 |