| NPI | 1235946104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70028359) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: WA AP70028359) |
| 163W00000X Registered Nurse (Licence: WA RN60474547) | |
| Enumeration Date | 2024-12-14 |
| Last Update Date | 2025-10-07 |