| NPI | 1124825674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70054702) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R223070) |
| 363L00000X Nurse Practitioner (Licence: MD R223070) | |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-10-27 |