| NPI | 1831812098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61349472) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 292971) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2024-01-08 |