| NPI | 1952651960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60302460) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00166959) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2023-01-12 |