| NPI | 1366135931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61592114) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187189) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2025-04-01 |