| NPI | 1700348042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61134760) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: WA RN60476417) |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: OR 201806827RN) | |
| 363LS0200X Nurse Practitioner School (Licence: WA RN60476417) | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2023-03-23 |