| NPI | 1851813182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 59516) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60889503) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9279831) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60889503) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2021-10-01 |