| NPI | 1003582362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61203370) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60756946) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2022-01-18 |