| NPI | 1972389807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61571491) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60288761) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2025-04-02 |