| NPI | 1962036939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61349220) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61349220) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA RN60659851) | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2023-12-15 |