| NPI | 1578274080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 67775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 67775) |
| 163W00000X Registered Nurse (Licence: WA RN60717435) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61348708) | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |