| NPI | 1386120574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60872271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60177471) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2020-12-04 |