| NPI | 1710875406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 9771061) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60652986) |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-07-08 |