| NPI | 1336947639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61671353) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA rn60864523) |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-09-16 |