| NPI | 1790447753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61216730) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP61216730) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2024-01-04 |