| NPI | 1649835257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61185728) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60472039) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2022-01-18 |