| NPI | 1588475487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70010355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60918269) |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-06-30 |