| NPI | 1386074599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60755420) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WA RN00141700) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2023-10-03 |