| NPI | 1952082919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61603054) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 8922) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2026-07-09 |