| NPI | 1093470205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61203975) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60255989) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2022-02-24 |