| NPI | 1104814284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30004746) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP30004746) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2025-07-02 |