| NPI | 1710875257 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70033558) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95189029) | 
| 363L00000X Nurse Practitioner (Licence: WA RN61543424) | |
| Enumeration Date | 2025-06-24 | 
| Last Update Date | 2025-09-16 |