| NPI | 1407366743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60879545) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60767337) |
| 363L00000X Nurse Practitioner (Licence: WA STUDENT) | |
| Enumeration Date | 2017-09-30 |
| Last Update Date | 2021-03-24 |