| NPI | 1689759490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP000549) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30004708) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2022-11-04 |