| NPI | 1922613074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61445188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60805316) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2023-07-19 |