| NPI | 1073746103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5019231) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60593286) |
| 363L00000X Nurse Practitioner (Licence: NC 5019231) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60593286) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2025-04-16 |