| NPI | 1790417236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN250526) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61536348) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2025-06-18 |