| NPI | 1669911137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60793187) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN60088957) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2026-04-13 |