| NPI | 1053823641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60800087) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60387390) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60800087) | |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2025-06-27 |