| NPI | 1386237931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 322873) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61365640) |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2025-06-05 |