| NPI | 1265366918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 61096848) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA ARNP.AP.70162053-NP) |
| Enumeration Date | 2026-06-09 |
| Last Update Date | 2026-08-07 |