| NPI | 1669094751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA EP61078944) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61057103) |
| 363L00000X Nurse Practitioner (Licence: WA N261065345) | |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-12-07 |