| NPI | 1649854076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70004819) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA APRN.AP.70004819-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3199) | |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2026-05-04 |