| NPI | 1275178022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61076307) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60755695) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2023-09-18 |