| NPI | 1073155545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61011544) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN61010702) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2021-03-22 |