| NPI | 1073987400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60627257) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00177330) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2025-09-29 |