| NPI | 1255722484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60748455) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011918) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2025-10-09 |