| NPI | 1427528272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60967033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60362827) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2022-04-15 |