| NPI | 1407384100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61296774) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00156629) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-12-08 |