| NPI | 1295901841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202213249NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA R118574) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60255922) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2025-10-07 |