| NPI | 1013890219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 70042791) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60559603) |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-09-01 |