| NPI | 1093372344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60960197) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60367715) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2026-06-08 |