| NPI | 1164395612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70055113) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP70055113) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP70055113) | |
| 163W00000X Registered Nurse (Licence: WA RN61182245) | |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-10-27 |