| NPI | 1245760800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014791) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP09358) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61680001) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2025-04-23 |