| NPI | 1457032450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61496117) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: WA RN60850977) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2025-09-03 |