| NPI | 1255856464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-231598) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60776850) |
| 163W00000X Registered Nurse (Licence: WA 60666755) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60776850) | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2024-02-20 |