| NPI | 1871058073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60972572) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60222992) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-06-25 |