| NPI | 1699308148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 3353) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: WA 60860880) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2024-08-07 |