| NPI | 1942617709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70032857) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 35919) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2026-02-03 |