| NPI | 1376282418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61686187) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2355538) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61686187) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61686187) | |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2025-06-25 |