| NPI | 1689390825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61366398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60324293) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-11-07 |