| NPI | 1043773989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9162-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A154138) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-01-25 |