| NPI | 1881895373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60787593) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00008257) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60787593) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2025-07-21 |