| NPI | 1376023358 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61321809)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61302455)  | 
| 163WC1500X Registered Nurse, Community Health (Licence: SC 244752)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61321809)  | |
| Enumeration Date | 2018-08-18 | 
| Last Update Date | 2025-01-10 |