| NPI | 1023575172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 13126302-4405) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60930121) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2023-02-24 |