| NPI | 1811520380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61173638) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60554961) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61173638) | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2021-08-27 |