| NPI | 1801197157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15312) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 60929816) |
| 207Q00000X Family Medicine (Licence: TN APN0000015312) | |
| 207Q00000X Family Medicine (Licence: MS R566098) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 60929816) | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2020-11-17 |