| NPI | 1578139960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61469432) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: WI RN60465576) |
| 163W00000X Registered Nurse (Licence: WA RN60465576) | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2023-07-27 |