| NPI | 1649043225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61540065) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61001522) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-05-28 |