| NPI | 1598438244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61535470) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61535415) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2025-11-19 |