| NPI | 1629819875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61604198) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61210124) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-08-27 |