| NPI | 1558149401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61459974) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN00123357) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2026-04-22 |