| NPI | 1578652863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60258143) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 1864532) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-10-07 |