| NPI | 1265273106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 57307) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61572185) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2025-04-09 |