| NPI | 1154001972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10050381) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61438790) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2026-02-24 |