| NPI | 1679029953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 234834) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60667641) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2025-06-23 |