| NPI | 1063733418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60692371) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP8846) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2025-08-21 |