| NPI | 1790423473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61504145) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 65329) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 65328) | |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2024-08-07 |