| NPI | 1346654258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT 126833) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 126832) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60500711) | |
| 163W00000X Registered Nurse (Licence: WA RN60364144) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2022-07-21 |