| NPI | 1225466006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9234000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61547725) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2025-08-18 |