| NPI | 1184675233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 100183) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT 6338) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61059800) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2021-06-23 |