| NPI | 1720705858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP.70024858-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61321483) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2025-07-30 |