| NPI | 1174412829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70023365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN61057426) |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-10-15 |