| NPI | 1437674686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60785559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60773822) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60785559) | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2024-12-27 |