| NPI | 1235648601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70004422) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60559015) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2025-06-23 |