| NPI | 1407527716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61344955) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 873122) |
| Enumeration Date | 2021-09-26 |
| Last Update Date | 2022-10-26 |