| NPI | 1336683796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 265407) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60711956) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2025-01-10 |