| NPI | 1144956251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997554-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61615801) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2024-12-27 |