| NPI | 1508912643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 377107-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60125623) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2025-11-17 |