| NPI | 1548937378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61536040) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00155642) |
| Enumeration Date | 2021-08-28 |
| Last Update Date | 2024-05-16 |