| NPI | 1205501970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61378537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN274480) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA F10210919) | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2023-05-24 |