| NPI | 1093311342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1062933) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1070200) |
| 363L00000X Nurse Practitioner (Licence: WI 1062933) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2022-04-06 |