| NPI | 1033710207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61093302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60759829) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61093302) | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2024-11-18 |