| NPI | 1710426002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60863665) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WA 6083665) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2025-08-26 |