| NPI | 1508528464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61228414) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013777) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2025-11-26 |