| NPI | 1700263555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 19888) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 100632) |
| 363L00000X Nurse Practitioner (Licence: SC 19888) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60733421) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2025-03-24 |