| NPI | 1679387864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61652719) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00147602) |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-04-10 |