| NPI | 1669039384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61461029) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60765583) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2026-06-25 |