| NPI | 1356894422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 279033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60672144) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60672144) | |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2023-06-27 |