| NPI | 1417838210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 5881023) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN60914468) |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2026-08-20 |