| NPI | 1659048593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61215252) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60756490) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-08-30 |