| NPI | 1073890737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60236013) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00157937) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2026-04-21 |