| NPI | 1841845039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60986200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60986199) |
| 363L00000X Nurse Practitioner (Licence: WA 60988144) | |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2021-10-28 |