| NPI | 1952733677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70045987) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010197) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2025-10-28 |