| NPI | 1770204562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70013045) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: WA RN60288988) |
| 363L00000X Nurse Practitioner (Licence: WA AP70013045) | |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2026-04-28 |