| NPI | 1053022053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61405996) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN60261525) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2024-08-08 |