| NPI | 1023642410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61172257) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60239139) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2021-07-06 |