| NPI | 1043515497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15511) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61312042) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2024-07-31 |