| NPI | 1699364505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020775) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11020775) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61103812) | |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2025-08-25 |