| NPI | 1689223273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9549) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61536329) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10027008) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2025-06-23 |