| NPI | 1285270769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61188060) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60756856) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2021-09-02 |