| NPI | 1902414451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61168985) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA 36118439) |
| 163W00000X Registered Nurse (Licence: WA RN61168978) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP61168985) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP61168985) | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2021-10-28 |