| NPI | 1649949306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61149368) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60860849) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2022-11-30 |