| NPI | 1922816552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70026070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61349972) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2025-08-27 |