| NPI | 1720504574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60800366) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60239138) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60800366) | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2026-01-12 |