| NPI | 1407585581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61335401) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: WA RN60222444) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-08-02 |