| NPI | 1023645017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61670666) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60084346) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-04-20 |