| NPI | 1649727348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202206538NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60687964) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A162206) | |
| Enumeration Date | 2016-09-10 |
| Last Update Date | 2023-11-21 |