| NPI | 1013565845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60968163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60153573) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2022-01-17 |