| NPI | 1235973165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70067844) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61206651) |
| 163W00000X Registered Nurse (Licence: MT NUR-RN-LIC-217203) | |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2026-02-02 |