| NPI | 1013377654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60799706) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60799705) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2021-05-04 |