| NPI | 1063726701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60175324) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60036722) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2026-05-08 |