| NPI | 1558056622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70030741) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN276613) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2025-10-21 |