| NPI | 1396417523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61226619) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP1226619) |
| 363L00000X Nurse Practitioner (Licence: WA RN61106884) | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-12-16 |