| NPI | 1003327784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60805173) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60805173) |
| 163W00000X Registered Nurse (Licence: WA RN00173668) | |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2025-11-24 |