| NPI | 1538302401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5818p) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61626000) |
| 363L00000X Nurse Practitioner (Licence: WA AP61626000) | |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2024-11-15 |