| NPI | 1225521867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61305310) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61273786) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2022-12-06 |