| NPI | 1437794286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA 61188657) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60269534) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2024-04-14 |