| NPI | 1881263895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61327731) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60550009) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-03-04 |