| NPI | 1891514725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 79545) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA ARNP.AP.70142528-NP) |
| 363L00000X Nurse Practitioner (Licence: NM 79545) | |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2026-07-14 |