| NPI | 1912098914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007040) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00109982) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-06-18 |