| NPI | 1962884577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60580141) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 243972) |
| 363L00000X Nurse Practitioner (Licence: WA RN60579868) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA 60582060) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2021-05-25 |