| NPI | 1982474441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61534481) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11030415) |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2025-08-06 |