| NPI | 1306471867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61325865) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60641197) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2022-12-13 |