| NPI | 1639158264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60334140) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 087000077n1) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2025-09-08 |