| NPI | 1336505577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70062117) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 3261079) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2025-12-15 |