| NPI | 1841957578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61511239) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019139) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2025-01-07 |