| NPI | 1548145451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70046817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 11273500-4405) |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-11-20 |