| NPI | 1104467042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61145506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-75622) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WA AP61145506) | |
| 363L00000X Nurse Practitioner (Licence: NM 58262) | |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2023-05-17 |