| NPI | 1407307531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21367) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60939301) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180332) | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2023-04-10 |