| NPI | 1538791470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA EP61071736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60474318) |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2020-05-08 |