| NPI | 1134882285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61625553) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60851212) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2025-06-02 |