| NPI | 1568866572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61583868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60443204) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2024-07-27 |