| NPI | 1871204917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61400767) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00157706) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2023-01-29 |