| NPI | 1508328097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61553226) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 224387) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2025-03-19 |