| NPI | 1790192284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1460A) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: WA AP60477652) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2023-03-14 |