| NPI | 1558933978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61204816) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60568949) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-08-19 |