| NPI | 1922350065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60623626) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60225866) |
| Enumeration Date | 2012-10-13 |
| Last Update Date | 2023-05-18 |