| NPI | 1982185781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60989896) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60989895) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2026-06-08 |