| NPI | 1952020836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP70012823) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60955083) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP70012823) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP70012823) | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2025-06-21 |