| NPI | 1457591422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11043082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60604006) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2025-11-19 |