| NPI | 1902596752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61440167) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60512118) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2025-06-27 |