| NPI | 1639897242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70019380) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9339164) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11040620) | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2026-03-17 |