| NPI | 1093328197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61447752) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60342913) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-05-23 |