| NPI | 1952012254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 70093180) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN61303913) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2026-05-01 |