| NPI | 1134800741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61370973) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN60615327) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2025-04-14 |