| NPI | 1093145567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60503735) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN107776) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 105877) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5495) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 105924) | |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2023-11-06 |