| NPI | 1427886514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70038496) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61325585) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2025-08-29 |