| NPI | 1699000901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60111177) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00151745) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2021-05-18 |