| NPI | 1861191702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61478766) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61095221) |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2026-04-24 |