| NPI | 1710655642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61534350) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN60800613) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2024-03-06 |