| NPI | 1548021199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61519437) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60648751) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |