| NPI | 1396293445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60693814) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60460284) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2023-04-26 |