| NPI | 1952874612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 60607) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: ID 60607) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60917566) | |
| Enumeration Date | 2019-01-05 |
| Last Update Date | 2024-02-05 |