| NPI | 1053307926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006893) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00157415) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006893) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2025-03-26 |