| NPI | 1548832686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61230602) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP61230602) | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2022-10-13 |