| NPI | 1255091203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 232527) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61526262) |
| 163W00000X Registered Nurse (Licence: AR 232527) | |
| 163W00000X Registered Nurse (Licence: WA RN60202067) | |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2025-09-09 |