| NPI | 1801287529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60769409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7654) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP7654) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60769409) | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2024-12-18 |