| NPI | 1679301642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70025866) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61225260) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2025-09-15 |