| NPI | 1134911043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70007852) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201341566RN) |
| 163W00000X Registered Nurse (Licence: WA RN61424003) | |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-06-03 |