| NPI | 1003571936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11889-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 153615-30) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2023-06-06 |