| NPI | 1861016446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61300458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60827299) |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2023-11-05 |