| NPI | 1043933278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LS0200X Nurse Practitioner School (Licence: WA RN60240944) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60240944) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-22 |