| NPI | 1801529128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61309761) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60477970) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-07-05 |