| NPI | 1033481478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61515005) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP61515005) |
| 363LF0000X Nurse Practitioner Family (Licence: TN 25284) | |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0001215224) | |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024169874) | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2024-06-12 |