| NPI | 1437772688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61238582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61238375) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2022-12-02 |