| NPI | 1164239620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70039786) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 281505) |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2025-11-26 |