| NPI | 1912518093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61087276) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10022648) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2026-06-25 |