| NPI | 1851094080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70026941) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10501653-3102) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 10501653-4405) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 10501653-4405) | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2025-07-31 |