| NPI | 1023795978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61464852) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: WA RN61093264) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-05-06 |