| NPI | 1073073342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61195060) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60273890) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-02-20 |