| NPI | 1174160030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA Ap.61221290) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA RN60664176) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-06-21 |