| NPI | 1679109896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61177606) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60857609) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2022-01-18 |