| NPI | 1538257506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005974) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00141787) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2026-06-05 |