| NPI | 1982434841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 9461973) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61569630) |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2025-07-23 |