| NPI | 1659896249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60769910) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 229637) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2025-04-22 |