| NPI | 1386374171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61324767) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60968289) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-08-30 |