| NPI | 1376121491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61182754) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60865805) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61182754) | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-06-07 |