| NPI | 1902656820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030482) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61541987) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-03-27 |