| NPI | 1861021776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61585203) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61207123) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2026-01-09 |