| NPI | 1538977061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61650172) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 72560) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2025-01-14 |