| NPI | 1508658204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70053319) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: WA RN61361077) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-10-09 |