| NPI | 1851952642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60966051) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: WA AP60966051) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60966051) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-04-06 |