| NPI | 1922475532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60724010) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20397) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2023-10-25 |