| NPI | 1225486996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 127800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 5577) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60659762) | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2018-03-17 |