| NPI | 1104479302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994940-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60938809) |
| 163WG0000X Registered Nurse, General Practice (Licence: CO RN.0205201) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60975919) | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-12-23 |