| NPI | 1699349167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61513242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60916369) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61513242) | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2024-04-04 |