| NPI | 1891330643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61069777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60798159) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2020-07-06 |