| NPI | 1811364995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61576033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004457) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2025-07-29 |