| NPI | 1811389919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61176129) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60398297) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2021-07-19 |