| NPI | 1407481690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61325624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60803589) |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2023-09-28 |