| NPI | 1275176547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11028572) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA N361012215) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61011723) | |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2024-04-25 |