| NPI | 1710616875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61401315) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201393767RN) |
| 163W00000X Registered Nurse (Licence: WA RN60425049) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61401315) | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-02-10 |