| NPI | 1811493042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61579860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ARNP9347939) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9347939) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2025-05-22 |