| NPI | 1689960890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61595353) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: OR 202009148RN) |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2024-10-21 |