| NPI | 1558217083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70157086) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70157086) |
| 163W00000X Registered Nurse (Licence: MD R245111) | |
| 163W00000X Registered Nurse (Licence: WA RN61233906) | |
| Enumeration Date | 2026-03-06 |
| Last Update Date | 2026-08-30 |