| NPI | 1275057895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61550102) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704242092) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2025-04-28 |