| NPI | 1932736121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61214320) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: WA RN60240413) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-09-11 |