| NPI | 1528631066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61208460) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN255164) |
| 207Q00000X Family Medicine (Licence: GA RN255164) | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2023-06-20 |