| NPI | 1033539838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10693-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60458903) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2021-02-02 |