| NPI | 1669814497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA NP61661006) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 48204) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 242347) | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2026-06-17 |