| NPI | 1356170369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61597349) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61597349) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61597349) | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-09-30 |