| NPI | 1689969594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN200417NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61356655) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA RN61326619) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2025-11-20 |