| NPI | 1205313467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60890184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00130951) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-09-05 |