| NPI | 1629759881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61582561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61206692) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61582561) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2024-10-30 |