| NPI | 1114640224 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP70005395)  | 
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA RN61192446)  | 
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP70005395)  | |
| Enumeration Date | 2022-09-22 | 
| Last Update Date | 2025-07-11 |