| NPI | 1083336366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI F08220407) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 13335-33) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2023-01-11 |