| NPI | 1811678626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61568075) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN61156446) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61568075) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61568075) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61568075) | |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2026-06-18 |