| NPI | 1184431314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70050519) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61348670) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2025-10-21 |