| NPI | 1083218325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61110172) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60223644) |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2026-05-05 |