| NPI | 1811314552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60672861) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60085636) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2021-06-30 |