| NPI | 1972043727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95006104) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA ARNP.AP.70154422-NP) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2026-08-27 |