| NPI | 1801473509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70041628) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F347386-01) |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2025-11-26 |