| NPI | 1710722079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61581564) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA ARNP.AP.61581564-NP) |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-12-23 |