| NPI | 1710964093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9322769) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP 009371) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30008047) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP002220D) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: WA AP30008047) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2023-03-07 |