| NPI | 1992395230 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61477773) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61420190) | 
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 202009638) | |
| Enumeration Date | 2021-01-21 | 
| Last Update Date | 2025-01-06 |