| NPI | 1386146686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61040756) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00172831) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2021-12-21 |