| NPI | 1003232794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60451438) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60442486) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 60451438) | |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2025-01-03 |