| NPI | 1215505821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61175371) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61132419) |
| 363L00000X Nurse Practitioner (Licence: WA AP61175371) | |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2023-08-31 |