| NPI | 1700409430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61318838) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA RN60655148) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61318838) | |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2022-09-20 |