| NPI | 1740635879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R66073) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60647415) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2025-06-18 |