| NPI | 1699149922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61567474) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60557101) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2024-09-14 |