| NPI | 1265189450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61677738) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA 222176) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 230698) | |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2025-04-28 |