| NPI | 1831681683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60864435) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60484197) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2021-04-23 |