| NPI | 1225529555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21884) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70004403) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2025-08-13 |