| NPI | 1467171066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP70015968) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60857533) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2025-11-18 |