| NPI | 1255113601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI APRN-4729) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: HI RN-120641) |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: WA RN61207021) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP61207026) | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2025-05-21 |