| NPI | 1245268788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 289530) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005954) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP30005954) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-03-22 |