| NPI | 1942681523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60564484) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60004867) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60564484) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2026-02-27 |