| NPI | 1558146068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA 61487880) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA RN61406938) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61487880) | |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2026-07-28 |