| NPI | 1437820164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61512106) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: WA RN60970555) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2024-08-21 |