| NPI | 1578505533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006902) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA ML70115012) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006902) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2026-06-09 |