| NPI | 1447842455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61149575) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60254276) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-07-12 |