| NPI | 1598484172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95036501) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95332304) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA ARNP.AP.61687200-NP) | |
| 163W00000X Registered Nurse (Licence: WA 61070806) | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2025-09-24 |