| NPI | 1811522766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61315194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60326226) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-10-05 |