| NPI | 1497389886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61175056) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60289892) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2021-09-16 |