| NPI | 1346703543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60915242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60839931) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60915242) | |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2019-07-01 |