| NPI | 1972223733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61362728) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60925290) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2025-04-10 |