| NPI | 1730649195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60983119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60679902) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60983119) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2022-12-18 |