| NPI | 1316554017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61135709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60576636) |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2021-04-28 |