| NPI | 1952383812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R850539) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61669968) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2025-10-06 |