| NPI | 1477277606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61453729) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60349369) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2023-08-07 |