| NPI | 1760023469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61028233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 56675) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND r44211) | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2023-01-04 |