| NPI | 1720670102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA ARNP.AP.70043891-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 195804) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2026-01-09 |