| NPI | 1750755310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61083414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00171176) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2021-02-18 |