| NPI | 1811657034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61265878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60712897) |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2023-01-12 |