| NPI | 1285346999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61471835) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60226336) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61471835) | |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2024-06-07 |