| NPI | 1598595514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61573192) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9539861) |
| 363L00000X Nurse Practitioner (Licence: WA IP61594235) | |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-10-23 |