| NPI | 1700230950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60914403) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60913298) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 2018018789) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60914403) | |
| 163W00000X Registered Nurse (Licence: MA RN2306093) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2020-12-04 |