| NPI | 1083132369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188104) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: VA 0001259170) |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: WA 60769375) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2023-09-13 |