| NPI | 1760976096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61114890) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 196696-30) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2023-06-29 |