| NPI | 1093485823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61215985) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61215985) |
| 163W00000X Registered Nurse (Licence: WA RN60866782) | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2025-10-07 |