| NPI | 1598323354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61059001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00155539) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-04-12 |