| NPI | 1659644326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8750-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.009432) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95002356) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60265341) | |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2021-01-05 |