| NPI | 1598928574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: UT 12685789-4405) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: WA 001522282) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2023-01-08 |