| NPI | 1194476325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61277315) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00123454) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-03-18 |