| NPI | 1922719269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61455537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60159140) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2023-10-26 |