| NPI | 1396461463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61364630) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60499375) |
| 363L00000X Nurse Practitioner (Licence: WA AP61364630) | |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2023-09-26 |