| NPI | 1992484794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61480901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61094766) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-08-30 |