| NPI | 1144853136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61327778) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60963887) |
| 363L00000X Nurse Practitioner (Licence: WA AP61327778) | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2022-08-26 |