| NPI | 1235796251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61335763) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60842399) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2022-10-25 |