| NPI | 1376108688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60966048) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60223211) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP60966048) | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2024-01-22 |