| NPI | 1992230635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61410463) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009474) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2025-09-15 |