| NPI | 1902162779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60423918) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00176453) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2021-04-16 |