| NPI | 1386425890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 61525338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN194399) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2024-02-14 |