| NPI | 1952003675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025178) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA ARNP.AP.70151228-NP) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2026-08-05 |