| NPI | 1568846152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60593748) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00157439) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2020-02-20 |