| NPI | 1831557438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1565A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70136016) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2026-09-22 |