| NPI | 1235485731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60519194) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 18180) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60519194) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2024-02-15 |