| NPI | 1487289427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61069975) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60658078) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-06-19 |