| NPI | 1023668738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61113715) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 26109) |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2023-02-19 |