| NPI | 1588226096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60987582) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN60385802) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-10-29 |