| NPI | 1184199242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60896870) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60867522) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60896870) | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2024-09-24 |