| NPI | 1477225837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61306927) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704289310) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2025-04-15 |