| 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 |