| NPI | 1508419920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60980847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60918420) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60980847) | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2022-02-24 |