| NPI | 1871042689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA ap60697114) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60697114) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60697114) | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2021-04-23 |