| NPI | 1699389536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61413235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2018004950) |
| 163W00000X Registered Nurse (Licence: WA RN61054305) | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2024-01-07 |