| NPI | 1689418345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60083068) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA ap61587507) |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-09-21 |