| NPI | 1063305803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70040212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61346113) |
| 163W00000X Registered Nurse (Licence: WA 61346113) | |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-09-08 |