| NPI | 1467083287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61019165) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60225256) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-06-17 |