| NPI | 1568358224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70018884) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP70018884) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP70018884) | |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-10-06 |