| NPI | 1770321135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP70029594) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60408720) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2025-09-04 |