| NPI | 1205107224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70015988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 17726) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 27629) | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2025-07-23 |