| NPI | 1336436567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-121629) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60221327) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60221327) | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2023-10-16 |