| NPI | 1922166776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30003589) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00056504) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2024-05-03 |