| NPI | 1831661651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61412278) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60725952) |
| 363LF0000X Nurse Practitioner Family (Licence: ID 75868) | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2023-04-12 |