| NPI | 1639703754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61064362) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60020975) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2024-02-10 |