| NPI | 1144621756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61098520) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 73782) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 19070) | |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2025-01-08 |