| NPI | 1942568332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60444790) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00146743) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2019-01-29 |