| NPI | 1184661910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA ML61438084) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA AP30006915) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN245379) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-11-17 |