| NPI | 1225478829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9360614) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9360614) |
| 363L00000X Nurse Practitioner (Licence: WA AP60631376) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60631376) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2016-11-18 |