| NPI | 1609504125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61318590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60918591) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-10-28 |