| NPI | 1124409198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60571036) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60571036) |
| 163WR0400X Registered Nurse Rehabilitation (Licence: WA RN60559315) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2024-09-24 |