| NPI | 1124846266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61653139) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61249432) |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2025-09-10 |