| NPI | 1134966815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70006759) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WA RN61499455) |
| 163WG0000X Registered Nurse, General Practice (Licence: OR 10001214) | |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2025-06-04 |