| NPI | 1285269472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61075498) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: WA RN60019998) |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2023-02-15 |