| NPI | 1053128074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA ARNP.AP.70112873-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61349973) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA ARNP.AP.70112873-NP) | |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2026-06-05 |