| NPI | 1295236271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60832759) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F01180808) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2020-12-08 |