| NPI | 1548809189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61677784) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 24710) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026114) | |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2025-04-29 |