| NPI | 1003331539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61370481) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MT 176026) |
| 363LF0000X Nurse Practitioner Family (Licence: SC APN.21109) | |
| Enumeration Date | 2017-08-05 |
| Last Update Date | 2025-05-30 |