| NPI | 1144055955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61671915) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: ND R50759) |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2025-03-12 |