| NPI | 1356975676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61082245) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN6049588) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2023-08-31 |