| NPI | 1912268004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60254052) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60254052) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2023-12-29 |