| NPI | 1992338636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11006792) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 3150532) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61563104) | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2024-09-06 |