| NPI | 1124596762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60919285) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 228257-30) |
| 163W00000X Registered Nurse (Licence: WA RN60919284) | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2021-03-22 |