| NPI | 1841028073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61585887) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61585887) |
| 163W00000X Registered Nurse (Licence: WA RN61204537) | |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |