| NPI | 1740707967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60784445) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA N360791741) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2021-08-04 |