| NPI | 1164991188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61204886) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60868150) |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: WA RN60868150) | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2022-09-26 |