| NPI | 1093982191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60184682) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60184473) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2020-10-07 |