| NPI | 1821625922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61322630) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60710989) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2022-06-23 |