| NPI | 1154073898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61360933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000257466) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2023-12-04 |