| NPI | 1992496335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61440002) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61423700) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN281412) | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2026-04-02 |