| NPI | 1356963789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 7228) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61071006) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2025-06-18 |