| NPI | 1174330492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA ARNP.AP.70064573-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN.RN.16102710) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2025-11-02 |