| NPI | 1043865421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61194717) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: WA RN60656201) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2025-06-02 |