| NPI | 1902597131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61568841) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 246343) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2024-09-24 |