| NPI | 1861938839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70111103) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2026-05-18 |