| NPI | 1265141410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61381881) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN61245886) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61381881) | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2023-03-28 |