| NPI | 1033684840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 8759-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 179249) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2021-07-13 |