| NPI | 1427680404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61333734) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60655727) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2022-08-09 |