| NPI | 1578391249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61589138) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61589138) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61589138) | |
| 363LS0200X Nurse Practitioner, School (Licence: WA AP61589138) | |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2025-07-09 |