| NPI | 1215605068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61197648) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60865907) |
| Enumeration Date | 2021-09-04 |
| Last Update Date | 2022-04-22 |