| NPI | 1912330895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61603948) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209010644) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2025-01-24 |