| NPI | 1033781018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN264963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61168484) |
| 363L00000X Nurse Practitioner (Licence: WA AP61184561) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61184561) | |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2024-03-25 |