| NPI | 1487268009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61592937) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61057597) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2024-08-05 |