| NPI | 1578339008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61507140) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61507140) |
| 163W00000X Registered Nurse (Licence: WA RN60570622) | |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2024-01-23 |