| NPI | 1992319263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61456728) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: WA RN60574223) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2023-08-07 |