| NPI | 1710424510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61374107) |
| Additional Taxonomies | 101Y00000X Counselor |
| 163W00000X Registered Nurse (Licence: WA rn60931735) | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2023-04-10 |