| NPI | 1629703731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61340381) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61075632) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-04-24 |