| NPI | 1770128548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61381543) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60745996) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61381543) | |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2025-02-19 |