| NPI | 1639638372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA 60897709) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60897709) |
| 163W00000X Registered Nurse (Licence: WA RN00148167) | |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2024-02-26 |