| NPI | 1992395230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61477773) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61420190) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 202009638) | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2023-08-24 |