| NPI | 1609386226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60865821) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA 243380) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2024-05-22 |