| NPI | 1215334156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201408582) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60518936) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2025-08-30 |