| NPI | 1225838642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61676082) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 3871447) |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-05-05 |