| NPI | 1033887286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11282-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A164783) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 8771) | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-11-29 |