| NPI | 1801362140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN216502) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61155025) |
| Enumeration Date | 2018-10-14 |
| Last Update Date | 2021-05-06 |