| NPI | 1871650317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61562273) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61094882) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2025-04-03 |