| NPI | 1396209193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61152138) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60869214) |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2023-12-27 |