| NPI | 1720783426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP61526429) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: WA RN60518062) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-02-16 |