| NPI | 1164181251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61462886) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60722045) |
| 363L00000X Nurse Practitioner (Licence: WA AP61462886) | |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2023-08-07 |