| NPI | 1699308239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 31936) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA 60696072) |
| 363L00000X Nurse Practitioner (Licence: WA AP61084558) | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2023-01-17 |