| NPI | 1851899041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60828819) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60291285) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2022-05-26 |