| NPI | 1912466392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA N361139398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-166227) |
| 363L00000X Nurse Practitioner (Licence: WA N261129295) | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2021-02-18 |