| NPI | 1588201917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61005908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60177536) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61005908) | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2022-12-02 |