| NPI | 1902245715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60377163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00148876) |
| 363L00000X Nurse Practitioner (Licence: MO 2019028280) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2022-09-13 |