| NPI | 1275145401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61088952) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61076873) |
| 363L00000X Nurse Practitioner (Licence: ID 65075) | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2021-03-30 |