| NPI | 1033704598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61336783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61311846) |
| 163WA2000X Registered Nurse, Administrator (Licence: TX 903295) | |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2024-03-11 |