| NPI | 1861209876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 00024195136) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA ARNP.AP.70050797-NP) |
| 163W00000X Registered Nurse (Licence: VA 0001343284) | |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2026-01-28 |