| NPI | 1467067207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61104820) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60435024) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-11-05 |