| NPI | 1609443233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61581067) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 9795004-4405) |
| 163W00000X Registered Nurse (Licence: UT 9795004-3102) | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2026-01-26 |