| NPI | 1336866391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61369840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60668702) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-24 |