| NPI | 1588264287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61109016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61095204) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2021-03-05 |