| NPI | 1356931992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 213328) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61380203) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2025-01-27 |