| NPI | 1538559745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29156) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60535704) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2023-05-12 |