| NPI | 1336934686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61667018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 4071858) |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-12-02 |