| NPI | 1023875317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP616668597) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60067650) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2025-03-24 |