| NPI | 1528693181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61065135) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60560871) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-10-08 |