| NPI | 1235600651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60929791) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA RN60685890) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: IN 28215281A) | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2022-03-30 |